Memory Care vs. Assisted Living: Make the Right Choice for Your Parent(s)

Trying to decide between assisted living and memory care for someone you love? We’ve put together some resources to help you make the best decision for your aging parents.

The signs that an older adult is struggling to live independently at home can be subtle or they can be sudden and striking. Many seniors do not want to be a burden on their families and may try to hide that it is getting harder and harder for them to keep up with home maintenance, housekeeping, errands, or personal hygiene. Steep declines in health or repeated falls can signal a problem. Social isolation, depression, financial difficulties, forgetfulness, emotional outbursts, and poor personal hygiene, nutrition, or home maintenance are common signs, too. 

 

There are many reasons older adults may struggle to age in place, ranging from fading eyesight and stiffening joints to the onset of dementia. Understanding why your loved one is not thriving while living independently at home is key to deciding on the type of assisted living care or memory care facility that would suit them best.

Almost 75% of adults over the age of 65 will need some form of residential care at some point in their lives, so the first thing you and your family should know is that you are not alone—and things are going to get better.

Assisted living care and memory care seem, on the surface, to offer many of the same services. So how to you choose between them? We know the decision between assisted living vs memory care confuses many families and The Cedars is here to help. Our quick-start guide can help you assess your options and narrow your choices—and choose a wonderful memory care unit or assisted living care residence where your loved one can thrive.

When to Choose an Assisted Living Community
If your loved one is facing physical challenges of aging—mobility issues, eyesight or joint problems, chronic medical conditions, or is recovering from a stroke or fall—assisted living care can offer the help they need to make the most of this chapter of their lives.

Retirement assisted living preserves independence and supports learning and growth by offering a helping hand with the activities of daily living only when needed. These activities typically include bathing, toileting, and dressing, preparing meals and taking medications, running errands and keeping medical appointments, housekeeping, and laundry. Concierge services at assisted living communities also let older adults schedule transportation to and from appointments and errands or request help with grocery or clothes shopping and prescription refills. 

Meal plans are developed under the guidance of nutritionists and your loved one’s personal physician to support their physical health and wellbeing. Residents typically enjoy a wide range of choices and can decide between communal dining with friends or taking their meals in their own private residence.

Assisted living communities also provide opportunities to socialize, learn, grow, and connect with the community. Now that the difficulties of living independently are behind them, older adults can revive interests in hobbies and pursue personal passions. Spend time with friends and family. Take fitness classes. Enjoy concerts and art exhibits, clubs, arts and crafts classes, church services, and more. All of these engaging activities are right outside their door!

Assisted living communities have medical staff on hand to support residents and exceptional residences like The Cedars also employ occupational, physical, and speech therapists to help residents overcome health setbacks or adjust to the realities of aging. High quality assisted living care offers 24/7 access to medical care through a call system but will not include the layers of safety precautions needed in memory care units. 

When to Choose a Memory Care Residence
If your loved one is experiencing cognitive challenges and has been diagnosed with dementia, choose a memory care community. Alzheimer’s care facilities are designed from the ground up to maximize independence and address the very specific challenges of cognitive impairment with empathy, compassion, and optimism.

Memory care offers all of the same assistance with the activities of daily living found in assisted living residences but supplements these services with specialized staff training, physical environments designed to enhance safety and independence, and innovative programming and therapies for cognitive function that contribute to overall health and wellbeing.

Because wandering and falls are more common in patients with memory loss, safety and security precautions at memory care communities are higher than in assisted living. At The Cedars, our memory care households feature interconnected corridors and fluid layouts so residents can wander at will without encountering the frustration of a closed-door or blank wall. Access to safe, secure outdoor areas provide a calming connection to nature and a sense of freedom and exploration.

Memory care staff at The Cedars undergo rigorous training in a positive approach to person-centered dementia care. They get to know residents well and work hard to support their needs and wants in the moment, offering open-ended choices and meaningful activities that encourage social connection and preserve cognitive function.

Our innovative memory care programs include Opening Minds Through Art, Music, and Memory, Timeslips, and more. And our occupational, physical, and speech therapists are always on hand to offer support and guidance, too.

Can Your Parents Live in a Memory Care Assisted Living Residence?
Animal TherapyCan you receive assisted living care in a memory care center? At The Cedars, yes. Our brand-new Memory Care Assisted Living Households, part of the Sam L. Cohen Households, combine assisted living options for seniors with state-of-the-art dementia and Alzheimer’s care. This transformative approach to person-centered care creates a true home for older adults where their lives are their own and they have the supports they need to thrive.

If someone you love needs assistance with the activities of daily living and can no longer live safely in their own home, choosing their next home can feel overwhelming at first. If you need assistance evaluating your options, call our senior living specialists at 207.221.7000 today.

 

 

 

How Technology Can Help Seniors Age in Place

Technology for Seniors Integrating technology into the lives of seniors is a top trend in senior living communities. Why? From social media to helpful gadgets, recent advances in technology can help them stay active, stay safe, and stay in touch with loved ones. Here are seniors and technology tips that can help an older adult in your life take advantage of today’s tech.

Tech literacy for seniors has never been a more important priority as shutdowns, lockdowns, and social distancing protocols continue to keep us all us spending more time in our homes. From grandparents on Facebook to helpful gadgets for the elderly, today’s technological advances can help older adults stay connected with family and friends, strengthen fitness and cognition, access information and services, and age in place safely for longer periods of time.

If there is a loved one in your life who has resisted using computers or mobile devices, using email or apps or participating on social networks, they are almost certainly more open to it now that COVID has moved so much of our daily lives into the digital world. Helping seniors with technology is something The Cedars staff do every day, and we have great tips on how to help older adults take advantage of the opportunities in mobile devices, wearable tech, internet-connected appliances, virtual meeting services, social media, and more present for seniors.

Start with the Smartphone (or Tablet) – Of all the helpful gadgets for the elderly, smartphones and tablets take the top spot. Smartphones for seniors just make so much sense. If you are giving an older adult in your life a new device, give them the best head start possible on how to make the most of it.

  • Import their favorite contacts so that all of their beloved friends and family members as well as their physician are close to hand. Create or connect their email account. If they are unfamiliar with texting, give them a quick tutorial … and don’t forget to add Grandpa or Grandma to the family group chat!
  • Show them how to set alarms and reminders for taking or renewing their prescriptions and setting or attending medical appointments. (Explore the many different apps available for tracking prescriptions.)
  • Help them set font size and brightness settings that work for their vision.
  • Configure “Find My Phone” settings and show them what to do if they think they have lost their device or had it stolen. Buy an extra charging cord in case their current one gets lost.
  • Pull up the Health settings and explain the data the device is collecting. Set a steps goal and encourage them to keep moving, or show them how to track their weight or blood pressure. If they are also using a wearable tech device like a FitBit or Apple Watch, help them install the app and connect both devices.
  • Think about their favorite hobbies and install a couple of carefully chosen apps on their device. Recipe collections, Soduku puzzles, books, fly-tying guides, music streaming services … whatever you think will light up their eyes and enliven their days.

Social Media: Staying in Touch with Extended Family – The number of grandparents on Facebook increases daily, driven by the social distancing measures in place across the country that keep families from spending time together in person. If you are a family that shares more photos and videos on Instagram, however, your loved ones might miss the latest updates.

Take a look at the social media channels you and your extended family use most frequently to share jokes, thoughts, and quick snaps of your life. Are your grandparents also active users? Consider setting an appointment to set them up with their own account and show them how to follow your feeds and streams. Encourage them to ask their friends if they are active on senior social networks and join in.

 

 

 

Remember that older adults are less familiar with these platforms and are therefore more susceptible to online hacks and scams. When you give them the rules of the road, share a few precautions about not clicking strange links, sharing sensitive information, sending money to anyone they don’t know, or installing suspicious software. Let them know if they are confused or concerned, to close out of the app and confer with someone else before taking action.

Zoom, Facetime, and Google MeetCOVID-19 has raised all of our comfort levels with digital meeting services and this includes seniors. If you haven’t already, install your preferred video conferencing app on your loved one’s devices and show them how to click meeting links, mute and unmute their audio, turn their video feed off and on, and see the chat feature. You may also want to show them how to change gallery views during larger gatherings so they can see all of their favorite faces.

Wearable Tech (Apple Watch, Fitbit) – Senior living technology like smartwatches and fitness trackers can provide older adults with an extra layer of personal security, especially if they are living with chronic health conditions. They provide up-to-the-moment indicators of blood pressure and heart rate and some can even run an EKG. Because they make it easy to access the weather, the date and time, and provide alerts, they can help older adults with memory loss, too.

Alexa and Google Home – Alexa might not be the first thing you think of when you think of aging in place technology, but digital assistants like Alexa or Echo can be game-changers for your grandparents—particularly for older adults who are experiencing forms of memory loss. Because they are activated by voice rather than touch, they are easier to use for older adults with vision and mobility issues, too.

These devices can assist older adults with:

  • Checking the weather to verifying the date and time
  • Managing their calendar of appointments
  • Keeping hard-to-remember lists, like birthdays, grocery lists, packing lists, and more
  • Reminders to take medications or renew prescriptions
  • Playing music or audiobooks
  • Keeping up with the latest news and events
  • Alerting others when you need help
  • Shopping online

Helping seniors with technology is a great way to show them that you care about their wellbeing and want to keep them as close as possible during these challenging times. To see the many ways The Cedars uses cutting-edge technology to enhance the lives of our residents, talk to our senior living specialists at 207.221.7000 today.

Healthy Living is Easy at The Atrium

We’ve all heard that physical activity and exercise are good for us. In fact, being physically active on a regular basis is one of the best things older adults can do for themselves. According to the National Institute of Health, even moderate exercise can improve the health of people who are frail or who have diseases that accompany aging.

Being strong and fit can allow us to continue doing the things we enjoy as we age. Making exercise a regular part of our lives helps improve our health and maintain our independence as we age.

At The Atrium, independent living at The Cedars, our residents can attest to that. Our Wellness Coordinator develops customized wellness plans based on each person’s goals and abilities. After just one year of exercise, our residents have experienced significant gains. Here are some of their gains:

  • 38% more upper body strength
  • 63% more lower body strength
  • 117% more aerobic capacity
  • 1500% better balance

Wow. With programs and classes such as strength training, Aquacise in our pool, tai chi, yoga, Zumba gold, circuit training, walking, and more – our residents have fun while getting healthy. Combined with delicious, nutritious meals and a calendar full of social, cultural, and educational programs – it’s no wonder so many of our residents wish they made the move sooner. For more information on the healthy lifestyle at The Atrium.

 

Three Reasons to Move to a Retirement Community

Independent retirement living provides convenience and ease within a welcoming community that offers amenities and services to support your daily lifestyle and preferences. There are many aspects to independent living that can help eliminate the challenges of maintaining a home and inspire a new chapter of adventures and friendships in your life. When talking with residents at The Atrium at The Cedars, here are some of features that have brought them peace of mind since making their move.

Socialization when you want it.
The beauty of an independent living community is that you can choose to be as busy or as social as you like! While the offerings of activities, lectures, wellness programs and social engagements are plentiful, there is the opportunity to have restful and quiet moments in the privacy of your own home. The convenience of visiting friends and neighbors without the hassle of inclement weather and travel provides comfort and well-being.

Security and safety.
Winter storms, power outages and snow removal are all common occurrences here in the north east. The security and safety that independent living provides will alleviate the stress of tackling another tough winter and worrying about the safety of yourself and your property. With convenient transportation and snow removal, you’ll have more time to focus on the things you enjoy!

Serenity
Relax with one of our wellness programs in water aerobics, yoga, meditation or Tai Chi. Enjoy delicious gourmet cooking and say goodbye to preparing meals. Entertain at your own leisure and savor the convenience of a community full of services designed to truly offer you a variety outstanding living options.

 If you are interested in learning more about how the Atrium lifestyle can benefit you, please contact June O’Neill, our Marketing Representative at 221-7192 or joneill@thecedarsportland.org

COVID-19: Updates at The Cedars

COVID-19 at The Cedars (Updated 8/9/22)

The Sam L. Cohen Households, Hoffman Center, and The Osher Inn are free of COVID-19.

As of Sunday, August 7, there were 3 cases of COVID-19 among residents at the Atrium

Visitations: Masks must be worn when transitioning through common areas and while visiting in semi-private rooms when a roommate is present. For visits with residents residing in semi-private rooms, visitation areas are available on the Shapiro Neighborhood (rooms 251 and 252), Black Wolf Neighborhood (room 101) and Leibowitz in the Library on the Lewis Wing, main corridor..

Visitations:

  • Indoor visitations will take place in either resident rooms or designated visitation areas in the facility
  • All visitors must be screened at the Front Desk.
    • Visitors are encouraged to sanitize their hands and must wear a surgical mask; cloth masks are not acceptable.
    • If the resident is fully vaccinated, residents and visitors may remove their mask and have close contact in a designated visitation area or when visiting outside.
    • Visitors and residents must wear masks and physically distance from staff and other residents when outside of the designated visitation areas

     Pet Visits:

    Pets may visit with resident if the pets are current with their immunizations. Please provide a copy of the pet’s immunization record prior to the visit.

          Learn more about The Cedars Telehealth Program here

            The Benefits of Retirement Living in the Winter Months

            On wintry days like today, we find our residents expressing how thankful they are to have made the decision to move to a retirement community. “I love snowy days now,” one individual recently exclaimed. “I get to enjoy the beauty from inside, while having everything I need, right here.” At The Atrium, independent living at The Cedars, our residents relax in the privacy of their own apartments while having immediate access to friends, fine dining, fitness, entertainment and more. Here are some of the more popular winter activities older adults at The Cedars are enjoying this winter.

            Fitness Classes
            When the temperature drops, it can be challenging to get outside and exercise. The Cedars offers many fitness choices including Yoga, Tai Chi, Strength Training, Water Aerobics in our indoor, heated pool, and more. Residents can take advantage of our Fitness Center, swim laps or enjoy the whirlpool spa. Our Wellness Coordinator works with the older adults to assess their current level of fitness, set goals, and create fun, individualized fitness and nutrition plans.

            Social Opportunities
            Our residents have access to a calendar full of groups to enjoy such as book clubs, current event discussions, stitch and knitters group, bocce ball, bridge, and cribbage – to name a few. We also have wine and cheese gatherings, holiday and themed parties, and evening social hour just prior to dinner.

            Culture and Education
            Winter is the perfect time to attend an in-house lecture with a favorite historian or curator, attend concerts with local classical or jazz artists in our atrium, or attend a class at the local senior college, with gratis door to door transportation provided by The Cedars. And of course, residents enjoy our movie theater with films shown throughout the day.

            Excursions
            Outings to local restaurants, theater companies, the symphony and area museums are so much more fun when the transportation is provided and a familiar group of friends accompanies you. Our residents have season tickets to local performances and together, choose our monthly excursions. Cat at The Cedars

            Despite the weather, older adults at The Cedars enjoy enriching and stimulating social lives – year round. For more information on retirement living in Portland, Maine contact our marketing representative, June O’Neill at 207-221-7192 or joneill@thecedarsportland.org.
             

            U.S. News & World Report Names The Cedars a 2020-21 Best Nursing Home

            U.S. News & World Report’s, Best Nursing Home for 2020-21 has given The Cedars an overall rating of High-Performing for both Short-term and Long-term Care. The Cedars earned Best Nursing Homes status by achieving a rating of “High Performing,” the highest possible rating, for the care provided in both our short-term rehabilitation and long-term nursing care centers. U.S. News gives the designation of Best Nursing Home only to the top 21% of communities that satisfy U.S. News’ assessment of key services and consistent performance in quality measures.

            Now in its 11th year, the U.S. News Best Nursing Homes ratings and profiles offer comprehensive information about care, safety, health inspections, staffing and more for nearly all of the nation’s 15,000-plus nursing homes. The Best Nursing Homes ratings reflect U.S. News’ exclusive analysis of publicly available data using a methodology defined by U.S. News that evaluates factors that it has determined most greatly impact patient and resident care, safety, and outcomes. This information reflects the survey results from the Centers for Medicare and Medicaid Services (CMS) which has given The Cedars a Five Star overall rating, the best possible from CMS. This year, to accompany the new U.S. News and World Report ratings, nursing home profile pages were updated to include a patient safety summary that reflects COVID-19 data alongside other measurements of safety and related advice on choosing a home or facility amidst the pandemic. U.S. News & World Report is the global leader in quality rankings that empower people to make better, more informed decisions about important issues affecting their lives.   – October 27, 2020

              

             

            The Cedars Telehealth and Wellness Program

            At The Cedars, we learned early on that changes in the way healthcare is delivered during this pandemic needed to be immediately adopted to protect our staff and those we care for.  Having closed our community to non-essential healthcare providers and limiting physician appointments to those deemed a medical necessity, The Cedars needed to find ways to continue to provide ongoing medical care and connection to outside care providers.  In our efforts to reinvent our healthcare services, telehealth emerged as one of the major tools to deliver clinical services via telecommunications technology. 

            Michael Ohayon, Wellness Manager at The Osher Inn, supports a resident during a telehealth appointment in her assisted living apartment

            Through our Telehealth Program, staff is able to easily coordinate medical care for our patients and residents with primary care and specialty physicians, clinics and services.  Additionally, telehealth has been utilized for interdisciplinary team meetings. This program has assisted in maintaining continuity of healthcare to our patients and residents, avoiding additional negative consequences from delayed preventive, chronic and routine care.

            Our patients and residents have been very receptive to using telehealth technology, and our nurses love the fact that they are more involved in the patient/resident visits. Rather than having a patient or resident return from an appointment with a brief, written report, The Cedars nursing staff can interact, share concerns, and collaborate with care partners. This has improved our ability to provide individualized, person-centered care.

            The Cedars Telehealth Program is now part of our overall emergency preparedness plan. Keeping our residents healthy and connected to the community has been a major goal of this program. We anticipate that this pandemic will continue to effect operations well into the future, and our Telehealth and Wellness Program will continue to have a positive long-term impact on our organization.

            Telehealth is a component of The Cedars Beat COVID-19 Comprehensive Program which includes telehealth, screening, visitations, cleaning, personal protective equipment, and staff education.

            This tele-health project that has been generously supported by The Legacy Heritage fund.

             

            Five Steps to Helping a Parent Move to Assisted Living

            Learning Your Father Has Alzheimer's
            Moving elderly parents to an assisted living facility can be a scary step for everyone involved. Our five-step checklist is easy to follow, eases the transition to an assisted living community, and will put your whole family at ease.

            The steps for transitioning someone into a nursing home or assisted living facility are not as difficult as they seem. In fact, the hardest part is simply getting started. No one wants to share with aging parents that they no longer seem to be thriving in their home and many adult children struggle to express their concerns about health and safety with their loved ones.

            After all, our aging parents have always taken care of us. When we suggest a transition to assisted living, we start taking care of them.

            At The Cedars, we offer a full range of award-winning living options for elderly parents. We see every day how emotionally charged these conversations can be. We also see the powerful and positive difference assisted living makes in the lives of our residents.

            If your aging parents can no longer keep up with housekeeping tasks or need assistance with dressing, bathing, cooking, or driving, a helping hand changes everything. In fact, moving into a senior living community doesn’t just improve the quality of life. It actually improves life expectancy.


            1. Setting Expectations About Assisted Living With Your Parents

            “Supporting aged parents means knowing when to suggest assisted living,” says Angie Hunt, Administrator at The Cedars. “The signs someone needs help can be subtle or striking. If you don’t live close by, you may notice a sudden decline in your parent’s home, health or wellbeing on a holiday visit. If you can visit often, keep an eye out for memory lapses, emotional swings, changes in weight or grooming, and signs of disrepair in around your parent’s home.”

            So, how do you tell a parent they need assisted living? “First, ask your aging parents what they want,” suggests Angie. “Reassure them that you want what is best for them. Do they want to stay in their current community or move to be closer to family? Do you they want to have less stress in their lives? More opportunities to socialize? Healthy food and fitness choices? The ability to receive health care right where they live? That is what assisted living is—help when they need it that gives them the freedom to do what they want.”

            Now that everyone agrees that assisted living is the right move for your aging parents, how to choose an assisted living facility?

            1. What Kind Of Assisted Living Can You Afford?

            First, know what you can afford. Having a frank and open conversation about your parent’s finances and setting a budget for assisted living care lets you better focus your search. The cost of assisted living programs varies widely across the country and sometimes even within the same community, depending on whether your parents opt for a private room or a full apartment and on the level of personal assistance they require.

            Most older adults pay for assisted living care through some combination of Social Security, pensions, Veterans benefits, home equity, and personal savings. While Medicare will not cover assisted living, older adults in some states, like Maine, can use Medicaid to pay for all or part of their assisted living costs in MaineCare licensed communities. Ask your parents if they have purchased long term care insurance and, if they have, review their policy for applicable coverage.

            1. Find Assisted Living That Meets Your Parent’s Medical Needs

            “One of the greatest benefits of assisted living is the peace of mind 24/7 healthcare can provide aging parents and their families,” explains Katharine O’Neill, Director of Housing at The Cedars. “While every assisted living facility can provide basic care, some assisted living facilities, like The Cedars, can care for even medically complex conditions like kidney disease or COPD and provide physical and occupational therapy and memory care onsite.”

            Speak with your parents and their physician about the types of medical care they may need now or in the very near future. If memory lapses or a diagnosis of dementia are the reason you are considering assisted living for an aging parent, assisted living alone may not provide enough support. Look for memory care assisted living programs with positive, frustration-free approaches to care.

            “Make sure you check the qualifications of any assisted living facility you visit,” cautions Katharine. “Find your state’s regulatory agency and contact your long term care ombudsman, typically part of your state’s agency on aging. When you are researching how to choose an assisted living facility, the  Southern Maine Agency on Aging and Leading Age are also excellent resources.”

            1. See The Assisted Living Environment For Yourself

            One of the most important steps for helping someone transition into a nursing home is to tour every residence you consider. Many communities for older adults offer virtual tours on their websites but there is no substitute for an in-person visit. (During the current pandemic, when resident safety concerns are paramount, many high quality assisted living programs will provide personal virtual tours through FaceTime or Zoom.)

            You will know from the moment you walk in if an assisted living residence feels right for your aging parent. Look for private rooms or apartments with private baths, welcoming common areas, and homey furnishings. Review the monthly activity calendar and the dining menus for the day. Ask if there is an active resident’s council and request visits with current residents or their families to get their impressions. Remember, an assisted living residence should always feel like a real home, not a hospital.

            One of the greatest fears aging parents have is that giving up their private home will mean giving up their personal autonomy. As you visit and evaluate assisted living options for your elderly parents, ask questions about the choices they are offered during their daily lives. Will your parents be able to decide how to spend their days or will they be told when to wake up and when to eat? Can they opt-in or out of planned activities based on how they feel that day? Can they continue to pursue activities and passions that truly matter to them?

            “The Cedars is the first senior living community in our state to offer The Household Model of Care,” says Kathy Callnan, President and CEO at The Cedars. “This transformative approach to long term care creates a true home, where residents set their own schedules and make their own choices. With private rooms and baths, cozy common areas, and dedicated caregivers, our assisted living residents make themselves right at home.”

            1. Preparing For The Transition To Assisted Living

            You have chosen an assisted living residence that your family can afford, that can provide the kind of medical care your aging parents need, and that feels like home. Now it is time to set a schedule for moving in and begin downsizing, packing up, and preparing for an exciting new chapter in your parents’ lives.

            “Keep lines of communication open and keep everyone’s spirits up,” advises Kathy. “There will be a lot of big emotions as you begin filling moving boxes. Your parents will have to choose their most precious possessions and mementos to take with them and many aging parents have a hard time letting go of the things they no longer need. Remind your aging parents of the freedom a more simplified life provides and reassure them that giving away items or selling a family home doesn’t mean losing the many happy memories they contain.”

            Many communities have downsizing experts able to assist your family in sorting, selling, donating, and packing and the professional advice of someone outside the family can help resolve disagreements or provide clear-eyed advice. If there are family heirlooms or other valuables changing hands, make sure your parents’ wishes are legally documented and that insurance policies are updated. Work with a realtor you trust and take their advice on home repairs or staging. Even freshening paint colors or decluttering rooms can help everyone start the process of “letting go.”

            “Moving elderly parents to an assisted living facility is an opportunity to draw a family closer,” says Angie Hunt at The Cedars. “Adult children fly home from distant communities, reconnect with siblings, and spend quality time together helping with this exciting transition. Take plenty of pictures. Tell and re-tell favorite stories. And focus on the bright future ahead.”

            Looking for an award-winning assisted living or memory care assisted living community in Maine that truly feels like home? Talk to The Cedars today.

            Construction Update October 2020

            We are getting there! The building is in place, sheet rock is up, and the living spaces are coming to form. The high ceilings, large windows, spacious apartments, and gathering spaces will be comfortable and cozy. We cannot wait to welcome our new residents to the Memory Care Assisted Living and Long-term, Skilled Nursing Care Households. For more information, contact June O’Neill, Household Representative at 207-221-7192.